| NPI | 1861133407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA FULLER ORMEROID Director Of Operations 520-635-5460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2022-09-07 |